Rheumatoid arthritis is an autoimmune condition that can cause inflammation in the small joints of the toes, leading to pain, stiffness, swelling, and deformity. It occurs when the immune system mistakenly attacks the lining of the joints, resulting in joint damage over time. In the toes, this may feel like a deep aching pain, often worse in the morning or after periods of rest. The toes may appear swollen, red, and may develop visible deformities, such as hammertoes or bunions. Walking can become painful, and wearing shoes may be difficult due to pressure on the joints. A podiatrist can assist with diagnosis through a clinical evaluation, medical history, and lab tests or imaging. Treatment may include custom orthotics, footwear modifications, and anti-inflammatory medications. In advanced cases, surgery may be considered. To manage symptoms and preserve mobility, it is suggested that you make an appointment with a podiatrist.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Richard Galperin, DPM of Texas. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions, please feel free to contact our office located in Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Custom insoles for bunion care are a specialized solution for individuals struggling with the discomfort and structural challenges posed by bunions. These insoles are meticulously designed to redistribute pressure away from the bunion, a protrusion at the base of the big toe, which often results from a misalignment of the toe joint. By providing targeted cushioning and support, custom insoles alleviate the direct pressure on the bunion area, reducing pain and preventing further aggravation of the condition. The unique feature of custom insoles lies in their tailored fit. They are crafted based on an individual's specific foot contours and the severity of the bunion, ensuring optimal effectiveness. This personalized approach not only eases current discomfort but also aids in slowing the progression of the bunion. Additionally, these insoles help in correcting any abnormal walking patterns caused by bunions, thereby improving overall foot function and comfort. If you are suffering from bunions, it is suggested that you make an appointment with your podiatrist to discuss whether custom insoles can manage your pain.

Custom orthotics are often an effective solution for people experiencing heel pain, offering both comfort and correction for the underlying causes of discomfort. Heel pain commonly develops when the natural support of the foot becomes strained or imbalanced, leading to inflammation and irritation in the heel area. Conditions such as plantar fasciitis, heel spurs, or flat feet can all contribute to chronic heel pain that worsens with walking or standing. Custom orthotics are designed to fit the exact shape of your foot, providing the support and alignment necessary to reduce stress on the heel and surrounding tissues.

By redistributing pressure and improving overall foot mechanics, custom orthotics allow the heel to function more efficiently during movement. They cushion each step, absorb shock, and correct abnormal gait patterns that may be contributing to pain. Over time, this consistent support can ease inflammation, protect against re-injury, and enhance comfort during both daily and athletic activities.

Unlike prefabricated insoles, custom orthotics are created from a detailed evaluation that may include digital scans or molds of your feet. This ensures a precise and individualized fit that addresses your specific condition. They can be used in various types of footwear, from athletic shoes to dress styles, making them a versatile option for ongoing relief.

If heel pain is limiting your comfort or activity level, it is suggested that you call our office for more information or to schedule an appointment.

If you have any questions please contact our office located in Dallas, TX . 

Peripheral artery disease is a condition in which narrowed or blocked arteries reduce blood flow to the legs and feet. This limited circulation can cause pain when walking, cramping in the calves, or wounds that are slow to heal. In some cases, the skin may appear pale, cool, or discolored. Early diagnosis is essential, as untreated disease increases the risk of serious complications. Evaluation may include a physical exam, checking pulses in the feet, and noninvasive tests such as the ankle brachial index or ultrasound. Treatment focuses on improving circulation and preventing progression. Lifestyle changes such as quitting smoking, regular walking programs, and healthy eating can make a significant difference. Medications may be prescribed to improve blood flow or manage risk factors, and surgery may be considered for severe cases. If you are concerned about circulation in your lower legs or feet, it is suggested that you seek care from a podiatrist for proper testing and management.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Richard Galperin, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

If you have any questions please contact our office located in Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Much like adults, children can experience various foot problems caused by ill-fitting, uncomfortable, or unsupportive shoes. These foot problems can be avoided by finding the right pair of shoes for your child. A child’s foot can grow up to two sizes within six months. This means that they will generally need new shoes more often than an adult would. When shoe shopping, look for shoes that leave about a finger’s width of room from the end of the shoe to the tip of your child’s big toe to ensure a proper fit. Shoes often wear out over time, and wearing worn out shoes can increase the risk of developing heel pain, Achilles tendonitis, ankle sprains, and fractures. Shoes that are too tight can cause calluses corns and blisters. Inspect your child’s shoes regularly to make sure that they have proper cushioning and support. If your child has flat feet, it is suggested to buy them shoes with a wide toe box, maximum arch support, and shock absorption. For more information on finding the right shoes for your child, speak with a podiatrist today.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Richard Galperin, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions, please feel free to contact our office located in Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.